Individual provider Active NPI

Krina Jasani, D.M.D

  • General Practice Dentistry
  • Alexandria, VA
National Provider Identifier
1366721805
Registry record updated Mar 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0401413462 Issued in VA
Practice address
3303 Duke St
Alexandria, VA 22314-4522
Phone
(202) 999-6639
NPI assigned
Aug 15, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 8, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 15223 MD
General Practice Dentistry 1223G0001X 0401413462 VA Primary

Addresses

Primary practice location

3303 Duke St
Alexandria, VA 22314-4522

Mailing address

3303 Duke St
Alexandria, VA 22314-4522
Phone (703) 705-9779

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160419000952 DC Order and Referring Only - DentistPractitioner - Dentist 0941508337

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
15223MDMDClinical Social Worker
0401413462VAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Virginia Family Dental LLC CurrentSince Nov 15, 2020 Accepting new patients
Clinton Crawford DDS LLC Past Accepting new patients

Locations

3303 Duke St
Alexandria, VA 22314
Phone (202) 999-6639

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1313366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615161600000",
    "number": "1366721805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3303 DUKE ST",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223144522",
            "telephone_number": "703-705-9779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3303 DUKE ST",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223144522",
            "telephone_number": "202-999-6639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JASANI",
        "first_name": "KRINA",
        "credential": "D.M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-15",
        "last_updated": "2021-03-08",
        "certification_date": "2021-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "15223",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401413462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

Verify at the official NPI Registry.